著者

Yoshiko Yoshida Toshihiro Shirai Masashi Mikamo Yuichiro Shishido Takefumi Akita Satoru Morita Kazuhiro Asada Masato Fujii Takafumi Suda

出版者

一般社団法人 日本内科学会

雑誌

Internal Medicine (ISSN:09182918)

巻号頁・発行日

vol.52, no.18, pp.2135-2138, 2013 (Released:2013-09-15)

参考文献数

5

被引用文献数

2

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A 55-year-old woman visited our hospital for an investigation of central bronchiectasis, mucoid impaction and infiltrative shadows on chest CT. She had a 10-year history of bronchial asthma; however, her adherence to treatment was poor. Based on the presence of peripheral blood eosinophilia and immediate cutaneous reactivity to Aspergillus fumigatus, the patient was clinically diagnosed with allergic bronchopulmonary aspergillosis. Her condition and CT findings improved with systemic corticosteroid therapy. It was found that the patient had not been sensitized to Aspergillus 10 years earlier, indicating that single testing is inadequate for the early diagnosis of this disease.